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Permit Plbg Repipe 5504 Rigel Ct 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000648 Date S/24/12 Property Address . . . . . . 5504 RIGEL CT Tenant nbr, name . . . . . . FLEET LANDING Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPIPE 10 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE DAVID GRAY PLUMBING INC. RETIREMENT FOUNDATION, INC 6491 POWERS AVENUE 1 FLEET LANDING BLVD JACKSONVILLE FL 32217 ATLANTIC BEACH FL 322334599 (904) 724-7211 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc REPIPE 10 FIXTURES Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/20/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMEBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRFss: _S�rd XEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF FECFURE QTY TYPE oF FEffURE QTY. Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE' :,J � QTY TYPE oF Fmmm QTY TYPE oF Fvrrupm Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water'Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System NUSCELLANEOUS: • Sewer Replacement C1 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) • Lawn Sprinlder System-Number of Heads ci Well **SJRWD Well Completion Form. Completed form to be submitted to Ge—Building Department forfimal inspection." ci Other or six months.1 hereby certify that I have read Permit becomes void if work does not commence within a six month period or work is suspended or abandoned f this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not Ibc permit does not give authority to violate the provisions of any other state or local-law regulation construction or the performance of construction. Property Owners Name Phone Number Plumbing Company DAVID GRAY I PWMBING, INC. Office phone 724-7211 Fax— Jacksonville, FL 32217 6491 Powers Avenue city Co. Address: State Certification/Registration CK 022586 License Holder(Print): 0,— A,Z"A"U: ir 4441 Notarized Signature of License Holder 1 40, day of wom and subscribed before me this b a -of Flon�a t P 1-c St t' ajor 10 Notary Public State of Florida IL Neal R Major My Commission EE032510 ignature of Notary Public Expires 12/201/2014